4.1 The Limits of Tooth-borne Expansion
This is Chapter 4.1 of the JawHacks ebook. See the full Table of Contents here.
It’s very simple. Tooth-borne appliances are an obsolete treatment modality in the era of MARPE (such as EASE, FME, MSE) and custom orthognathic surgery.
Tooth-borne expanders are an order of magnitude less effective, slower, and more dentally destructive.
There is not a single advantage these expanders has over a properly implemented MARPE or MMA surgery.
Tooth-borne vs Bone-borne

The first thing any candidate for jaw expansion must understand is the distinction between tooth-borne and bone-born appliances.